Behavioral Administrative Guidelines
At Evernorth, we’re committed to ensuring all of our customers have access to quality services and benefits. To that end, we are dedicated to working with you, our trusted providers, across all aspects of today’s health care landscape. To help us stay on the same page, we have created the Behavioral Administrative Guidelines (also known as the Medical Management Program or MMP) as a reference tool for you.
This document is part of your contract and is where you can find the most relevant, up-to-date information on working together. It contains Administrative Guidelines and Program Requirements for the programs, policies, rules, and procedures pertaining to rendering behavioral health services.
| Document Title | Document Type | Document Size | Last Updated |
|---|---|---|---|
| Behavioral Administrative Guidelines | 3.98MB | 05/18/2023 |
| Document Title | Document Type | Document Size | Last Updated |
|---|---|---|---|
| Contact Information (Appendix A) | Online Resource | -- | 03/07/2017 |
| Claims Information (Appendix B) | Online Resource | -- | 08/01/2013 |
| Participant Rights and Responsibilities (Appendix C) | Online Resource | -- | 11/03/2016 |
| Collection, Use And Disclosure Of Protected Health Information (Appendix C+) | Online Resource | -- | 08/01/2013 |
| Health Care Provider Forms (Appendix D) | Online Resource | -- | 11/03/2020 |
| Employee Assistance Program (EAP) Forms (Appendix E) | Online Resource | -- | 08/01/2013 |
| Specialty Networks and Forms (Appendix F) | Online Resource | -- | 11/08/2019 |
| Primary Care Physician (PCP) Communication Information (Appendix G) | Online Resource | -- | 08/01/2013 |
Updated September 2021
Starting September 1, 2021, we transitioned from the Behavioral Medical Management Program to the Behavioral Administrative Guidelines as referenced above. Any agreement or document that references the Medical Management Program (MMP), the Provider Guide, the Provider Manual, or the Provider Administrative Guidelines shall be construed to reference this document: the Behavioral Administrative Guidelines.
The Behavioral Medical Management Program guide is still available for regulatory and reference purposes and may be downloaded and/or printed for your records.